| NPI | 1497167670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: OR 2532) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: WI 407457) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2024-03-04 |